Health

Recommendation 76

eyuser — Thu, 23 Jun 2022 01:55:20 +0000

Recommendation 76 eyuser Thu, 06/23/2022 - 09:55

Recommendation

76. Alleviate demand on hospitals and support budget sustainability by:

fast-tracking the implementation of the Sustainable Health Review to transition the health system to a person-centric, preventative and community-based public health system and ensuring there is adequate capacity within responsible agencies to support this
providing publicly available progress reporting at least annually on Sustainable Health Review reform outcomes to support accountability and transparency.

WA Government response

The WA Government responded to Foundation for a stronger tomorrow in February 2023. Recommendation 76 is fully supported. For further information please refer to the response document.

Vision – strategic opportunity

A global location of choice

Approaching the technology frontier

Strategy objectives

Support a strong, resilient and diversified economy

Support population growth and change

Enhance cross-government coordination and planning

Get the most from our infrastructure and improve maintenance

Suggested lead agencies

Department of Health

Timeframe

2023

Ongoing

b. Yes

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Recommendation 77

eyuser — Thu, 23 Jun 2022 01:52:17 +0000

Recommendation 77 eyuser Thu, 06/23/2022 - 09:52

Recommendation

77. Address gaps in the health system service and infrastructure planning by:

prioritising finalisation of the review of the WA Health Clinical Services Framework 2014–2024 to provide a basis for system-wide service and infrastructure planning
finalising development of the 10-year state health plan, including integrated clinical, infrastructure, public health, digital and workforce planning, to inform health service and infrastructure priorities.
establishing an agreement for a sustainable funding footprint to support change and investment required in the health system in line with the 10-year state health plan
preparing an annually updated system-wide strategic asset plan that meets the requirements of the Strategic Asset Management Framework
completing a full review of the Western Australian Mental Health, Alcohol and Other Drug Services Plan 2015–2025 to ensure it continues to drive long-term system reform
assessing options for private and/or not-for-profit healthcare providers to augment the public health system, such as public–private partnerships (where appropriate) and medi-hotels, when planning for health services infrastructure
strengthening lifecycle asset management maturity within the health system, including:
1. enhancing the capacity of the Department of Health, Mental Health Commission and Health Service Providers to undertake system-wide infrastructure planning and prioritisation
2. consistent with Recommendation 42a in the Asset management chapter, allocating budget to enable the Department of Health, Mental Health Commission and Health Service Providers to implement fit for purpose asset management planning and systems to ensure health infrastructure, plant and equipment is functionally fit for purpose.

WA Government response

The WA Government responded to Foundation for a stronger tomorrow in February 2023. Recommendation 77 (a-e, g) is fully supported; (f) is partially supported. For further information please refer to the response document.

Vision – strategic opportunity

A global location of choice

Promoting and leveraging Aboriginal cultural heritage and enterprise

Strategy objectives

Support population growth and change

Enhance cross-government coordination and planning

Enhance infrastructure delivery and develop skills for the future

Get the most from our infrastructure and improve maintenance

Suggested lead agencies

a - b. Department of Health

c. Department of Health, Department of Treasury

d. Department of Health

e. Mental Health Commission

f. Department of Health

g (i). Department of Health, Mental Health Commission, Health Service Providers (Child and Adolescent Health Service, East Metropolitan Health Service, North Metropolitan Health Service, South Metropolitan Health Service, WA Country Health Service, Health Support Services and PathWest Laboratory Medicine WA)

g (ii). Department of Treasury

Timeframe

a. 2022

b. 2023

c. 2024

d. 2023

e. 2025

f. 2023

g (i). 2025

g (ii). 2023

Ongoing

d, f , g (ii). Yes

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Recommendation 78

eyuser — Thu, 23 Jun 2022 01:49:46 +0000

Recommendation 78 eyuser Thu, 06/23/2022 - 09:49

Recommendation

78. Reduce demand on hospitals by increasing investment in community-based services, including:

rebalancing and accelerating investment towards community-based mental health services and facilities, such as supported accommodation, and integrating mental health services into hospitals to address inpatient capacity shortfalls
working with the Australian Government to prioritise and expand the role of primary health care in providing more integrated, community-based health services that leverage capacity and support early intervention
working with the Australian Government to investigate and invest in innovative models of community-based primary health services and facilities, such as urgent-care clinics and co-located primary and allied healthcare hubs
expanding application of digital technologies, such as telehealth and remote inpatient monitoring, to improve health services’ quality and accessibility across WA.

WA Government response

The WA Government responded to Foundation for a stronger tomorrow in February 2023. Recommendation 78 is fully supported. For further information please refer to the response document.

Vision – strategic opportunity

A global location of choice

Strategy objectives

Support population growth and change

Enhance cross-government coordination and planning

Embrace technology, data and digital connectivity

Get the most from our infrastructure and improve maintenance

Suggested lead agencies

a. Mental Health Commission, Department of Health

b - d. Department of Health

Timeframe

a. 2025

b - c. 2023

d. 2027

Ongoing

Yes

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Recommendation 79

eyuser — Thu, 23 Jun 2022 01:46:55 +0000

Recommendation 79 eyuser Thu, 06/23/2022 - 09:46

Recommendation

79. Support refocusing of the health system from hospitals and acute care to community-based services by undertaking targeted investment to modernise hospitals and address capacity gaps, including:

subject to Recommendation 77a, developing a roadmap for the planning and redevelopment of Royal Perth Hospital, considering any investment required to extend its life without adversely impacting health outcomes
subject to Recommendation 77a, developing a roadmap for the planning of and future investment in Sir Charles Gairdner Hospital
informed by outcomes of the Graylands Reconfiguration and Forensic Taskforce, prioritising investment to continue the services provided at Graylands Hospital and Selby Lodge through a new or redeveloped facility or facilities or other appropriate models of care, and to transition patients to suitable accommodation, where necessary
informed by outcomes of the Graylands Reconfiguration and Forensic Taskforce, prioritising investment in forensic mental health services to ensure appropriate, secured facilities for people with a mental illness involved in the state’s criminal justice system.

WA Government response

The WA Government responded to Foundation for a stronger tomorrow in February 2023. Recommendation 79 is fully supported. For further information please refer to the response document.

Vision – strategic opportunity

A global location of choice

Strategy objectives

Support population growth and change

Enhance cross-government coordination and planning

Get the most from our infrastructure and improve maintenance

Suggested lead agencies

a - b. Department of Health

c. Mental Health Commission, Department of Health

d. Mental Health Commission, Department of Justice, Department of Health

Timeframe

a. 2025

b - d. 2032

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Recommendation 80

eyuser — Thu, 23 Jun 2022 01:44:37 +0000

Recommendation 80 eyuser Thu, 06/23/2022 - 09:44

Recommendation

Enable health system reforms and improve the quality and accessibility of health services in metropolitan and regional areas by prioritising and funding digital technology initiatives, identified in the WA Health Digital Strategy 2020–2030, subject to business cases, with the electronic medical records program the priority.

WA Government response

The WA Government responded to Foundation for a stronger tomorrow in February 2023. Recommendation 80 is fully supported. For further information please refer to the response document.

Vision – strategic opportunity

A global location of choice

Strategy objectives

Support population growth and change

Embrace technology, data and digital connectivity

Get the most from our infrastructure and improve maintenance

Suggested lead agencies

Department of Health

Timeframe

2032

Ongoing

Yes

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Recommendation 81

eyuser — Thu, 23 Jun 2022 01:42:02 +0000

Recommendation 81 eyuser Thu, 06/23/2022 - 09:42

Recommendation

81. Improve public health and reduce chronic disease by enabling the built environment to play a stronger role in addressing the wider determinants of health, including:

aligning strategic planning and infrastructure proposals to the State Public Health Plan for Western Australia and reporting progress against achieving its objectives through normal reporting mechanisms, such as annual reports
finalising regulations required to implement public health assessments, which should be completed for significant strategic planning and infrastructure proposals that are assessed as presenting a high public health risk or have the significant potential for enhanced health outcomes.

WA Government response

The WA Government responded to Foundation for a stronger tomorrow in February 2023. Recommendation 81 (a) is fully supported; (b) is partially supported. For further information please refer to the response document.

Vision – strategic opportunity

A global location of choice

Strategy objectives

Maximise wellbeing, liveability and cultural strategic opportunities for our community

Enhance cross-government coordination and planning

Get the most from our infrastructure and improve maintenance

Suggested lead agencies

a. Department of Health, Department of Planning, Lands and Heritage, Department of Treasury

b. Department of Health, Department of Planning, Lands and Heritage, Department of Treasury, Environmental Protection Authority, Department of Local Government, Sport and Cultural Industries, Infrastructure WA

Timeframe

2032

Ongoing

Yes

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Recommendation 82

eyuser — Thu, 23 Jun 2022 01:34:57 +0000

Recommendation 82 eyuser Thu, 06/23/2022 - 09:34

Recommendation

82. Reduce Aboriginal health inequity and inequality by establishing health facilities tailored to Aboriginal needs, including:

supporting and funding the development of community-based primary care and allied health facilities that are designed and operated in partnership with Aboriginal communities and provide well-integrated and culturally secure wraparound services for Aboriginal people
providing health facilities in Aboriginal communities that are fit for purpose and have access to high-quality digital connectivity to support ongoing and improved delivery of telehealth services.

WA Government response

The WA Government responded to Foundation for a stronger tomorrow in February 2023. Recommendation 82 is fully supported. For further information please refer to the response document.

Vision – strategic opportunity

A global location of choice

Promoting and leveraging Aboriginal cultural heritage and enterprise

Strategy objectives

Enhance cross-government coordination and planning

Embrace technology, data and digital connectivity

Suggested lead agencies

Department of Health

Timeframe

2032

Ongoing

Yes

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Recommendation 83

eyuser — Thu, 23 Jun 2022 01:30:36 +0000

Recommendation 83 eyuser Thu, 06/23/2022 - 09:30

Recommendation

83. Support health and medical life sciences industry development, research, innovation and commercialisation by co-investing in health and medical life sciences facilities, subject to business cases, including:

establishing local medtech and pharmaceutical manufacturing infrastructure and capabilities to support the implementation of the Health and Medical Life Sciences Industry Strategy to develop a world-class health and medical life sciences industry
identifying opportunities for the Future Health Research and Innovation Fund to partner with the Australian Government, academia and the private sector, to realise the infrastructure-related aims of the fund.

WA Government response

The WA Government responded to Foundation for a stronger tomorrow in February 2023. Recommendation 83 is fully supported. For further information please refer to the response document.

Vision – strategic opportunity

A global location of choice

Approaching the technology frontier

Strategy objectives

Support a strong, resilient and diversified economy

Enhance cross-government coordination and planning

Embrace technology, data and digital connectivity

Suggested lead agencies

a. Department of Jobs, Tourism, Science and Innovation

b. Department of Health

Timeframe

a. 2026

b. 2027

Ongoing

Yes

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Health

eyuser — Wed, 22 Jun 2022 01:34:53 +0000

Health eyuser Wed, 06/22/2022 - 09:34

In 2017, the WA Government initiated the Sustainable Health Review to drive the next phase of public health system reform. Without bold reform, State Budget health spending is projected to increase to 38% by 2026–27, limiting funding available for other priority areas across government.

In 2017–18, 7% of hospitalisations, at a cost of $368 million each year, could have been prevented if timely and appropriate health care and management had occurred in a community setting. Addressing wider determinants of health, such as the built environment, can improve health and reduce demand on the health system.

Strategic justification

WA’s health system is under increasing strain due to rising demand from factors such as an aging population and obesity, and the impacts of COVID-19. While the government has invested significantly to increase capacity, urgent reforms are needed to address underlying drivers of demand and stresses on the health system. With almost 75% of the health budget directed at hospitals, embracing new models of care that increase focus on prevention, more accessible community-based care, and advances in technology will be needed to improve health, reduce demand on hospitals and improve budget sustainability.

Vision - strategic opportunities

A global location of choice

Approaching the technology frontier

Promoting and leveraging Aboriginal cultural heritage and enterprise

Sector challenges and opportunities

The focus on the COVID-19 pandemic has resulted in implementation of the Sustainable Health Review falling behind schedule, which will need to be expedited to reform health services and reduce demand on hospitals. Health service reforms to enable primary and community-based care to play stronger role, and investment in infrastructure may be required to expand these services and reduce demand on hospitals. Mental health care is also under significant pressure and investment in hospital and community-based facilities, such as supported accommodation, are required to meet demand.

Hospitals will continue to be a vital part of the health system and decisions are required on the future of aging facilities including Royal Perth Hospital, Sir Charles Gairdner Hospital, Graylands Hospital and Selby Lodge.

There are opportunities to utilise digital technology in transforming health care. Technology such as electronic medical records and telehealth are central to modernising and reforming the public health system.

The State Public Health Plan for Western Australia and public health assessment also have potential to drive greater whole of government action to improve health through increasing consideration of health in strategic planning, regulatory processes and infrastructure proposals.

For Aboriginal people, health facilities that support a holistic approach and delivery of services in a culturally safe and sensitive environment will be required.

The health and medical life sciences sector has potential to support WA’s economic diversification and growth. Investment in research and development infrastructure can support commercialisation of new products and elevate WA’s global standing in the field.

Case study

In 2007, the European country of Denmark initiated major reforms to improve the sustainability and effectiveness of its health system by focusing on moving treatment out of hospitals and into the community. Denmark was facing a range of challenges, such as an ageing population, increasing chronic disease, technological change and rising hospital costs. To respond, Denmark reorganised its health system by providing fewer but more specialised hospitals, increasing the supply and access to primary and community care, and investing in enabling technology, such as electronic medical records and telehealth. For further information, refer to: https://www.healthcaredenmark.dk/